Nursing Mgmt - Postpartum Flashcards
BUBBLE HE assessment`
Breasts Uterus Bladder Bowels, hemorrhoids amount and type of Lochia Episiotomy (abdominal incision) Extremities (homans sign) Emotional Status
involution of the uterus
1-9 (fundus measured after delivery)
uterus returning to normal per-preg state
contractions after birth
fundal checks postpartum
1 fingerbreadth below the umbilics/day is the norm
distended bladder postpartum
bladder checks regularly
hemodynamic status
wbc
h&h
coag fxrs
integumentary status
striae
diaphoresis
musculoskeletal status
diastasis recti muscles - separation of rectus muscles
immunizations
rubella - sq - safe for nursing moms
Rh immune globulin - Rh- mom & Rh+ baby
attachment vs bonding
attachment - over time, mutually satisfying
bonding - initial, unidirectional attraction
maternal adaptation
taking in phase - within 1st 24hrs, focused on own needs, more dependent
taking hold phase - several days, mom open to teaching about self/baby care
letting go phase - mom/dad relinquishment, ideas about newborn/parenthood are given up
paternal adaptation
engrossment - fascination with newborn, intense interest and observation of newborn
self-care teaching
activity
sexuality
s/s that are reportable
f/u
